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Human Resources for Health Implications of Scaling Up For Universal Access to HIV/AIDS Prevention, Treatment, and Care: Mozambique Rapid Situational Analysis

This report presents the findings and key messages of rapid situation analysis in Mozambique of the human resources for health implications for scaling up to universal access to HIV prevention, treatment, care, and support. [from summary]

DC-OS: Decentralized, On-Site Training: a Sadly Neglected Option for Building the Pacific Islands Health Workforce

This article suggests a strategy for addressing the difficulty in training enough health workers involving creating satellite sites of colleges that offer health worker training at district hospitals or other health worksites. [adapted from author]

Maximizing Successful Pursuit of Health Careers in Micronesia: What to do?

This research examines the factors that current health professionals from the U.S. Pacific Islands region describe as helping and hindering them in their pursuit of health careers, as well as the barriers seen by students, educators and health professionals. [from abstract]

Evaluation of Distance Learning for Health Education

The authors describe the development of a distance learning health education program for rural communities that developed a network of rural community learning centers to employ distance learning technologies for community-driven peer education in isolated areas of the Marshall Islands. [adapted from abstract]

Adherence Support Workers: A Way to Address Human Resource Constraints in Antiretroviral Treatment Programs in the Public Health Setting in Zambia

The objective of this study was to assess the effectiveness of these adherence support workers in adherence counseling, treatment retention for people on antiretroviral therapy and addressing inadequate human resources at health facilities. [from abstract]

Stigmatization of Patients with HIV/AIDS among Doctors and Nurses in Belize

This study, conducted from August to September 2007, utilized a population-based survey to investigate stigmatizing attitudes and acts of discrimination against HIV/AIDS patients among doctors and nurses working in public hospitals in Belize. [from abstract]

Role of Traditional Healers in Comprehensive HIV/AIDS Prevention and Care in Africa: Untapped Opportunities

This document discusses some of the strategies that have been successful in integrating African traditional medicine (TM) with biomedical medicine and points the way forward for establishing and expanding collaboration with African TM practitioners as part of a broader and more efficient approach to community-based HIV prevention and care. [from author]

Use of Midwives and Traditional Birth Attendants in HIV Care

The authors provide an overview of maternal health services in the context of the HIV pandemic and outline the role of health professionals in maternal health and HIV prevention, care, and treatment. Particular attention is paid to the potential role of traditional birth attendants in expanding access to quality care. [adapted from author]

Expanding the Role of Nurses in TB Prevention, Care, and Treatment

The aim of this document is to set out the issues, challenges, and strategies for scaling up the contribution of nursing to tuberculosis (TB) prevention, detection, care, and treatment. It argues that scaling up nursing roles in TB prevention, detection, care, and treatment, as well as involvement in key policy and decision making, is the cornerstone of effective national TB programs. [from author]

Developing National Training Materials for Prevention of Mother-to-Child Transmission of HIV: The Zimbabwe Experience

This chapter describes Zimbabwe’s experiences in developing national prevention of mother-to-child transmission of HIV in-service and preservice training materials for facility and community-based health workers. It also discusses the specific challenges associated with training materials development in the context of the Zimbabwean national health system. [from author]

Training and Clinical Mentorship to Support the Scale-Up of Pediatric HIV Care: Lessons Learned from Uganda

The principles and practices outlined in this document are based on the author’s experience with creating a health worker clinical mentorship program for pediatric HIV care in Uganda as part of the continuum of education required to create competent health-care providers. [adapted from author]

Development and Implementation of Training Packages for PMTCT and Pediatric HIV Care

This document discusses strategies and experiences in developing training materials and approaches for the implementation of health worker training programs for prevention of mother-to-child transmission of HIV (PMTCT) and pediatric HIV care.

Supporting National ART Scale-Up in Botswana through Standardized, Multiphased Training

The need to strengthen health-care worker capacity was identified by the Botswana Ministry of Health and confirmed by a training needs assessment conducted in 2001. In response, Botswana embarked on the first phase of a national antiretroviral training program, which this document outlines. [adapted from author]

Curriculum Development and Training for Comprehensive HIV Care

Building capacity within the health systems of communities that face the task of scaling up HIV therapy in settings of high disease prevalence and/or limited resources is a tremendous challenge. This document will discuss the development of training programs for health-care personnel to meet this challenge. [from author]

Popular Training Methodologies and Applications

This document reviews challenges and approaches to popular methodologies and applications of clinical HIV training in order to address the question of what is the optimal approach to training the health workforce for an expanding HIV-treatment program in a resource-limited setting. [adapted from author]

Caring for Caregivers: Lessons Learned in Addressing the Needs of Health-Care Workers Affected by HIV/AIDS

This article shares experiences and insights gained, primarily in Zambia but also in Malawi, from the implementation of the “Caring for Caregivers” projects in Zambia and Malawi. [from author]

Estimating Health Workforce Needs for Antiretroviral Therapy

This article presents information and approaches for estimating human resource needs and identifies approaches and innovations to take into consideration as antiretroviral programs are developed, implemented, and monitored. [from author]

Training Program for Birth Attendance Reduces Neonatal and Perinatal Mortality in Zambian Clinics

A birth attendant training program that has been shown in a multinational trial to reduce stillbirth and perinatal mortality rates among neonates weighing at least 1.5 kilograms - most of them born outside of hospitals, also reduced mortality among infants of all weights born in Zambian clinics. [from author]

Improving Maternal and Newborn Care Counselling in Benin: Operations Research on the Use of Job Aids and Task Shifting

This study examined whether a pictorial set of job aids could improve the quality of maternal and newborn care counseling by skilled providers and whether similar performance levels could be achieved by clinic-based lay providers as part of a task shifting initiative to expand their role. [from author]

Baseline Assessment of HIV Service Provider Productivity and Efficiency in Uganda

As part of the collaborative to improve the efficiency of HIV service delivery, the authors conducted a baseline assessment of HIV/AIDS provider productivity, efficiency, and engagement in Uganda. [adapted from author]

Strengthening Human Resources for Health to Improve Maternal Care in Niger's Tahoua Region

This brief outlines a collaborative to improve health worker performance and improve the quality and efficiency of maternal care services by building the capacity of local management and health workers to implement sustainable improvements in maternal care provided in Tahoua. [adapted from author]

Staffing in Maternity Units: Getting the Right People in the Right Place at the Right Time

This report considers the available evidence about the relationship between staffing levels and deployment practices and safety of care for mothers and babies. In so doing, the report considers different staffing models and approaches.

Reducing Geographical Imbalances of Health Workers in Sub-Saharan Africa: a Labor Market Perspective on What Works, What Does Not, and Why

This report discusses and analyzes labor market dynamics and outcomes (including unemployment, worker shortages, and urban-rural imbalances of categories of health workers) from a labor economics perspective to address undesirable outcomes (including urban-rural HRH imbalances) more effectively. [adapted from summary]

Mandatory Rural Service for Health Care Workers in Thailand

This article discusses Thailand’s mandatory health service system. Under this system, all early-career health workers from public professional schools serve in rural areas as a governmental worker to maintain the rural health workforce. The system has ameliorated the shortage of physicians in rural areas by substantially decreasing the emigration of Thai physicians to foreign countries.

Human Resources for Mental Health: Workforce Shortages in Low and Middle Income Countries

This report estimates the number of mental health workers required to treat mental, neurological and substance use disorders, which account for an estimated 14% of the global burden of disease. The workforce shortage is estimated based on comparing this needed number of mental health workers with the supply. [from summary]

Faith-Based Organizations: Using HR Management to Support Health Workers

This issue of CapacityPlus Voices highlights the role of human resources management for FBOs in the health sector. Dr. Samuel Mwenda, ACHAP chairman and Christian Health Association of Kenya general secretary, and Doris Mwarey, ACHAP’s regional HR specialist, share their views and explain how countries are learning from each other. [from author]

Technical Framework for Costing Health Workforce Retention Schemes in Remote and Rural Areas

This paper reviews the evidence on costing interventions to improve health workforce recruitment and retention in remote and rural areas, provides guidance to undertake a costing evaluation of such interventions and investigates the role and importance of costing to inform the broader assessment of how to improve health workforce planning and management. [from abstract]

Training and Professional Expectations of Medical Students in Angola, Guinea-Bissau and Mozambique

The purpose of this paper is to describe and analyze the professional expectations of medical students during the 2007-2008 academic year at the public medical schools of Angola, Guinea-Bissau and Mozambique, and to identify their social and geographical origins, their professional expectations and difficulties relating to their education and professional future. [from abstract]

Improving the Implementation of Health Workforce Policies through Governance: a Review of Case Studies

This article aims to describe how governance issues have influenced HRH policy development and to identify governance strategies that have been used, successfully or not, to improve HRH policy implementation in low- and middle-income countries. [from introduction]

Effectiveness of the Tailored EBP Training Program for Filipino Physiotherapists: a Randomised Controlled Trial

This study assesses the effectiveness of a tailored evidence-based practice (EBP) training program for Filipino physiotherapists in improving knowledge, skills, attitudes, behaviour, and capacity to engage with referring doctors to determine the most effective treatments for their patients. [adapted from abstract]